中国康复理论与实践2025，Vol.31Issue(8)：972-978,7.DOI:10.3969/j.issn.1006-9771.2025.08.014
凯格尔训练结合普拉提训练对不同体质量指数前列腺切除术后尿失禁患者尿控恢复的中长期疗效观察
Mid-and long-term effect of Kegel training combined with Pilates training on urinary control recovery in pa-tients with post-prostatectomy incontinence with different body mass index
摘要
Abstract
Objective To observe the mid-and long-term effects of Kegel training combined with Pilates training on urinary conti-nence recovery in different body mass index(BMI)male patients with urinary incontinence after prostatectomy. Methods From May,2023 to June,2024,48 patients in Beijing Bo'ai Hospital were recruited and divided into group A(<25 kg/m2,n=15),group B(25 to 30 kg/m2,n=18)and group C(>30 kg/m2,n=15)according to their BMI.All the groups performed Kegel training combined with Pilates training for two months,and followed up at six months from baseline.They were evaluated with one hour pad test,the number of daily urinary incontinence,In-ternational Consultation on Incontinence Questionnaire-Short Form(ICIQ-SF)and modified Oxford Rating Scale before treatment,and four weeks,eight weeks and six months after treatment. Results The intra-group effect,the inter-group effect and interaction effect were significant in the results of one hour pad test and the daily number of urinary incontinence(F>2.955,P<0.05).Post Hoc test showed that they were worse in group C than in groups A and B(P<0.05),and the number of daily urinary incontinence was more in group B than in group A(P<0.05).There was significant difference in the scores of ICIQ-SF and modified Ox-ford Rating Scale among groups in different time points after treatment(Z>10.476,P<0.05)except the score of ICIQ-SF four weeks after treatment(P>0.05),and they were the worst in group C.BMI(group A=1,group B=2,group C=3)was correlated with the results of one hour pad test(r=0.79,P<0.001),the number of daily uri-nary incontinence(r=0.68,P<0.001),and the scores of ICIQ-SF(r=0.68,P<0.001)and modified Oxford Rating Scale(r=-0.47,P=0.001)six months after treatment. Conclusion Kegel training combined with Pilates training could improve the urinary control in patients with urinary in-continence after prostatectomy.The decrease of BMI can promote the recovery of urinary control,and improve the symptoms of later urinary incontinence in mid-and long-term.关键词
前列腺切除术/尿失禁/体质量指数/凯格尔训练/普拉提训练Key words
prostatectomy/incontinence/body mass index/Kegel training/Pilates training分类
医药卫生引用本文复制引用
安迪,吴娟,廖利民,王建霞,张帆,靖华芳,高轶,丛惠玲,苏国栋,叶淼,胡春英..凯格尔训练结合普拉提训练对不同体质量指数前列腺切除术后尿失禁患者尿控恢复的中长期疗效观察[J].中国康复理论与实践,2025,31(8):972-978,7.基金项目
中国康复研究中心课题基金项目(No.2023ZX-Q9) Supported by China Rehabilitation Research Center Funds(No.2023ZX-Q9) （No.2023ZX-Q9）
